https://padlet.com/mguice00/5pptjxphm8c3 Provider Credentialing en-us 2019-03-30 01:25:01 UTC 2019-03-30 01:48:40 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Lightdecrease.png mguice00 https://padlet.com/mguice00/5pptjxphm8c3/wish/346729885 NCQA Health Plan Accreditation evaluates organizations providing managed health care services. Your organization must meet the program criteria to pursue accreditation.]]> 2019-03-30 01:29:46 UTC https://padlet.com/mguice00/5pptjxphm8c3/wish/346729885 mguice00 https://padlet.com/mguice00/5pptjxphm8c3/wish/346729908 -Operates under an insurance license (e.g., HMO, POS, PPO, EPO),
-Issues a contract for insurance for a defined population or contracts with an employer to provide managed care services for a self-insured population
-Provides services through an organized delivery system that includes ambulatory and inpatient health care sites
-Performs functions addressed in the standards (quality improvement, care coordination, utilization management, credentialing, member rights and responsibilities), either directly or through a service agreement
-Has a process for monitoring, evaluating and improving the quality and safety of care provided to its members
Reports audited HEDIS results for designated HEDIS measures and CAHPS ratings and composites, as required for the selected Evaluation Option.]]> 2019-03-30 01:30:09 UTC https://padlet.com/mguice00/5pptjxphm8c3/wish/346729908 mguice00 https://padlet.com/mguice00/5pptjxphm8c3/wish/346730400 -Offers unparalleled insight into special projects, access to NCQA leaders and input on key initiatives at 3 full-day meetings per year in Washington, DC. Industry Council meetings are the most frequent and deep breifing for NCQA collaborators about the value agenda and NCQA’s strategy. Members are frequently offered first right of sponsorship on opportunities for supporting new programs.
-Includes over worth of complimentary access to NCQA publications, educational conferences and data subscriptions.]]> 2019-03-30 01:37:42 UTC https://padlet.com/mguice00/5pptjxphm8c3/wish/346730400 mguice00 https://padlet.com/mguice00/5pptjxphm8c3/wish/346730804 NCQA’s Physician and Hospital Quality Certification program evaluates how well health plans measure and report the quality and cost of physicians and hospitals.]]> 2019-03-30 01:43:57 UTC https://padlet.com/mguice00/5pptjxphm8c3/wish/346730804 mguice00 https://padlet.com/mguice00/5pptjxphm8c3/wish/346730867 -Imrove your process
-Validate Your Methodology
-becoming a trusted partner]]> 2019-03-30 01:44:55 UTC https://padlet.com/mguice00/5pptjxphm8c3/wish/346730867